01552nas a2200193   4500000000100000008004100001653001200042653002400054653002400078653000900102653001700111100001200128700001300140700001200153245007900165300001000244490000700254520109700261       2010                            d10aleprosy10aParalytic deformity10aSurgical correction10aLips10aFacial Nerve1 aAhn S Y1 aPark H J1 aKim J P00aSurgical Correction of Paralytic deformity of the Lips in Hansen's Disease  a27-340 v433 a<p>BACKGROUND: Damage of the facial nerve, especially buccal and marginal mandibular branches, causes facial palsy and paralytic deformity of the lips such as lower lip ectropion, lip drooping, deviation of the mouth, inability of closing mouth, and the loss of the nasolabial folds. OBJECTIVE: To find out the best surgical method to correct paralytic deformity of the lips. METHODS: We reviewed retrospectively the various surgical treatment modalities of the paralytic deformity of the lips performed in The Institute for Leprosy Research for 13 years. RESULTS: One hundred and twenty five surgical procedures were performed in 80 patients with Hansen's disease. Of these, the static method, dermal suspension flap, was done in 15 cases, the dynamic methods were done in 64 cases, and others were done in 46 cases. All patients showed postoperatively clinical improvement above the average. Two patients received reoperation or additional procedures due to relapse of the condition. CONCLUSIONS: The dynamic method using tensor fascia lata was superior to other treatment modalities.</p>